Peripheral Vascular Associates, P.A.
NPI 1396791570 · Vascular Surgery Physician · San Antonio, TX
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Peripheral Vascular Associates, P.A. is a Vascular Surgery Physician organization in San Antonio, TX (NPI 1396791570).
Provider details
- NPI number
- 1396791570
- Entity type
- Organization
- Primary specialty
- Vascular Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Phyllis Davenport, Administrator(210) 237-4492
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Interventional Cardiology Physician207RI0011X
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
- Prosthetist224P00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Physician Assistant363A00000X
Physician Assistants & Advanced Practice Nursing Providers
- Nurse Practitioner363L00000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-05-26
- Last updated
- 2023-07-21
- Certified
- 2023-07-21
Frequently asked questions
- What is Peripheral Vascular Associates, P.A.'s NPI number?
- Peripheral Vascular Associates, P.A.'s National Provider Identifier (NPI) is 1396791570, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Peripheral Vascular Associates, P.A.?
- Peripheral Vascular Associates, P.A. is classified in the NPPES registry as Vascular Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Peripheral Vascular Associates, P.A. located?
- Peripheral Vascular Associates, P.A.'s practice location on file with NPPES is 610 North Main Avenue, San Antonio, TX 78205-1204.
- What is Peripheral Vascular Associates, P.A.'s phone number?
- The practice phone number listed in the NPPES registry for Peripheral Vascular Associates, P.A. is (210) 237-4492.
- Does Peripheral Vascular Associates, P.A. accept Medicare?
- Peripheral Vascular Associates, P.A. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Peripheral Vascular Associates, P.A.?
- The authorized official listed on Peripheral Vascular Associates, P.A.'s NPPES record is Phyllis Davenport, Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Peripheral Vascular Associates, P.A.'s NPI active?
- Yes — Peripheral Vascular Associates, P.A.'s NPI (1396791570) is active in the NPPES registry as of the last update on 2023-07-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.